David Immanuel Thickman, MD is a
Radiology - Diagnostic Radiology physician based in Carbondale, Colorado. David Immanuel Thickman is licensed to practice in Colorado (license number DR28103) and his current practice location is 109 Sopris Mesa Dr, Carbondale, Colorado. He can be reached at his office (for appointments etc.) via phone at
(952) 595-1100.
NPI number for David Immanuel Thickman is 1689650939 and his current mailing address is 11995 Singletree Lane, Ste 500, Eden Prairie, Minnesota. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1689650939.
Physician's Profile
Full Name | David Immanuel Thickman |
---|
Gender | Male |
---|
Speciality | Radiology - Diagnostic Radiology |
---|
Location | 109 Sopris Mesa Dr, Carbondale, Colorado |
---|
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1689650939
- Provider Enumeration Date: 12/19/2005
- Last Update Date: 05/30/2017
Medical Identifiers
Medical identifiers for David Immanuel Thickman such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1689650939 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2085R0202X | Radiology - Diagnostic Radiology | DR28103 (Colorado) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. David Immanuel Thickman is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
David Immanuel Thickman, MD 11995 Singletree Lane, Ste 500, Eden Prairie, MN 55344-5349 Ph: (952) 595-1301 | David Immanuel Thickman, MD 109 Sopris Mesa Dr, Carbondale, CO 81623-3150 Ph: (952) 595-1100 |
Reviews and Comments